Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
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| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4 | WESTERLY HOSPITAL IS A 125-BED HOSPITAL THAT PROVIDES WASHINGTON (RI) AND NEW LONDON (CT) COUNTIES WITH FAMILY-CENTERED MEDICAL CARE AND A WIDE ARRAY OF MEDICAL, SURGICAL, LABORATORY AND REHABILITATIVE SERVICES. IN ADDITION, THE HOSPITAL OFFERS INTERVENTIONAL PAIN MANAGEMENT, WOUND CARE, AN ANTI-COAGULATION CLINIC AND CARDIAC PULMONARY REHABILITATION SERVICES. WITH OVER 300 PRIMARY AND SPECIALTY PHYSICIANS, WESTERLY HOSPITAL, AS PART OF YALE NEW HAVEN HEALTH SYSTEM, SERVES THE ENTIRE COMMUNITY WITH FAMILY-CENTERED MEDICAL CARE. THE HOSPITAL WAS MAKING INVESTMENTS IN INFRASTRUCTURE AND STAFF WHEN THE CORONAVIRUS PANDEMIC STRUCK. THE HOSPITAL, A MEMBER OF YALE NEW HAVEN HEALTH SYSTEM, QUICKLY FOCUSED ON CARING FOR PATIENTS WITH A NOVEL CORONAVIRUS WHILE MANAGING THE DAY-TO-DAY CARE NEEDS OF PATIENTS AND THE COMMUNITY. AS THE GLOBAL PANDEMIC TOOK HOLD, WESTERLY HOSPITAL RESPONDED RAPIDLY, INCLUDING STANDING UP SPECIMEN COLLECTION STATIONS. OVER THE COURSE OF THE YEAR, MORE THAN 6,000 TESTS WERE PERFORMED AT WESTERLY. THE LABORATORY TEAM ALSO RESPONDED TO THE NEED FOR FAST, ACCURATE TESTING FOR THE CORONAVIRUS WITH THE ADDITION OF A NEW PANTHER TESTING SYSTEM. THE NEW SYSTEM HELPED THE COMMUNITY BY QUICKLY IDENTIFYING PEOPLE WHO WERE POSITIVE FOR THE VIRUS WHICH ENABLED THEM TO SEEK MEDICAL ATTENTION OR TO QUARANTINE TO PROTECT OTHERS. TELEMEDICINE, BOTH INPATIENT AND OUTPATIENT, EXPLODED WITH EXPONENTIAL GROWTH AS THE FIRST WAVE OF THE CORONAVIRUS PANDEMIC HIT OUR REGION IN THE SPRING. WESTERLY HOSPITAL WORKED WITH HEALTH SYSTEM SUPPORT TO DEPLOY HARDWARE AND SOFTWARE SOLUTIONS TO CONNECT AND PROTECT PATIENTS, THEIR FAMILIES, PHYSICIANS AND CARE TEAMS. TELEHEALTH CARTS ON INPATIENT UNITS ALLOWED PATIENTS TO STAY CONNECTED WITH THEIR FAMILIES DESPITE VISITOR RESTRICTIONS, AND, IN SOME CASES, ALLOWED THEM TO CONNECT AT THE END OF LIFE. WESTERLY HOSPITAL USED MORE THAN 33 TELEHEALTH CARTS ON INPATIENT UNITS. TELEHEALTH CARTS ALSO PLAYED A MAJOR ROLE IN LIMITING STAFF EXPOSURE TO THE CORONAVIRUS BY REDUCING THE NUMBER OF TIMES CAREGIVERS MUST ENTER A PATIENT'S ROOM, ALLOWING PHYSICIANS AND CAREGIVERS TO COMMUNICATE WITH PATIENTS IN A SAFE AND SECURE WAY. IN THE MIDST OF THE PANDEMIC, WESTERLY HOSPITAL UNVEILED A $4 MILLION PHARMACY IN A NEW LOCATION, BOASTING STATE-OF-THE ART TECHNOLOGIES. THE PHARMACY HOUSES A COMPUTERIZED CAROUSEL THAT DISPENSES MEDICATIONS BY BAR CODE AND AUTOMATICALLY REORDERS SUPPLIES, A NEGATIVE-PRESSURE HOOD FOR SAFE PREPARATION OF CHEMOTHERAPY MEDICATIONS AND A "NON-HAZARDOUS CLEAN ROOM" TO ENSURE STERILITY DURING PREPARATION OF IV MEDICATIONS. THE INVESTMENT DEMONSTRATES THE CONTINUING COMMITMENT OF YALE NEW HAVEN HEALTH TO INVEST IN THE COMMUNITY AND ENHANCE PATIENT CARE. THE HOSPITAL REMAINED FOCUSED ON CONTINUALLY IMPROVING AND GROWING OUR SPECIALTY SERVICE LINES INCLUDING CARDIAC SERVICES, ONCOLOGY, SURGICAL SERVICES AND ORTHOPEDICS. WESTERLY BECAME THE LATEST HOSPITAL IN THE YALE NEW HAVEN HEALTH SYSTEM TO BE HOME TO A SMILOW CANCER HOSPITAL CARE CENTER, LIVING UP TO THE SYSTEM'S COMMITMENT TO BRING CANCER CARE CLOSER TO HOME FOR PATIENTS IN SOUTHWESTERN RHODE ISLAND. THE SMILOW CANCER HOSPITAL CARE CENTER TREATS PATIENTS IN A BEAUTIFUL NEW UNIT WITH PRIVATE INFUSION BAYS, BACKED WITH THE FULL RESOURCES OF SMILOW CANCER HOSPITAL, INCLUDING GENETIC COUNSELING, SECOND OPINIONS, TUMOR BOARD REVIEWS AND MUCH MORE. PATIENTS ARE ALSO NOW ELIGIBLE FOR PARTICIPATION IN CLINICAL TRIALS, PUSHING THE STANDARD OF CANCER CARE TO NEW LEVELS OF EXCELLENCE. ADDRESSING A NEED IN THE COMMUNITY FOR ENHANCED SPECIALTY PSYCHIATRIC SERVICES, WESTERLY HOSPITAL OPENED A BEHAVIORAL UNIT THAT OFFERS AN INTERACTIVE APPROACH TO PATIENT CARE. THE SERVICE ENABLES PATIENTS TO TAKE PART IN GROUP ACTIVITIES, INCLUDING WORKING WITH NURSES AND DOCTORS WHO PRIDE THEMSELVES ON A TEAM APPROACH. THE BEAUTIFULLY RENOVATED UNIT ALSO HAS LIGATURE-FREE PHOTOGRAPHY ON THE WALLS FEATURING LOCAL SCENES, HELPING PATIENTS FEEL AT HOME AND, QUITE POSSIBLY, PROVIDING A THERAPEUTIC BENEFIT AS PATIENTS RECALL HAPPY TIMES, ENHANCING THEIR MOOD, STIRRING MEMORIES AND ADVANCING CLINICAL PROGRESS. WESTERLY HOSPITAL ACHIEVED A SIGNIFICANT MILESTONE IN REDUCING HOSPITAL-ACQUIRED INFECTIONS. THIS PAST YEAR, THE INTENSIVE CARE AND MEDICINE/SURGERY UNITS AT WESTERLY HOSPITAL SUCCEEDED IN GOING MORE THAN A FULL YEAR WITHOUT A SINGLE CATHETER-ASSOCIATED URINARY TRACT INFECTION (CAUTI). THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION RECOGNIZED WESTERLY HOSPITAL FOR ITS HIGH QUALITY CARE OF PATIENTS EXPERIENCING STROKES. FOR THE FIRST TIME, WESTERLY HOSPITAL EARNED THE "GET WITH THE GUIDELINES STROKE SILVER QUALITY ACHIEVEMENT AWARD". THE HOSPITAL ALSO EARNED PLATINUM-LEVEL RECOGNITION FOR PARTICIPATION IN THE WORKPLACE PARTNERSHIP FOR LIFE HOSPITAL ORGAN DONATION CAMPAIGN, WHICH AIMS TO INCREASE ORGAN, EYE AND TISSUE DONOR REGISTRATIONS. THROUGHOUT THE YEAR, WESTERLY HOSPITAL MANAGED MULTIPLE PRIORITIES DURING AN UNPRECEDENTED TIME YET CONTINUED TO IMPROVE ITS PERFORMANCE THROUGH A CONTINUED FOCUS ON DEVELOPING AND MAINTAINING STRONG CLINICAL PROGRAMS, ENSURING A CULTURE OF PATIENT SAFETY AND CLINICAL QUALITY, AND EMPHASIZING EMPLOYEE AND PHYSICIAN WELLBEING. PART I, LINE 4 & PART VI, LINE 1B NUMBER OF INDEPENDENT VOTING MEMBERS OF THE GOVERNING BODY THE ORGANIZATION SOUGHT TO CONFIRM THE INDEPENDENCE OF EACH VOTING MEMBER OF ITS GOVERNING BODY BY REQUESTING THAT EACH SUCH VOTING MEMBER RESPOND TO A QUESTIONNAIRE CONTAINING THE PERTINENT INSTRUCTIONS AND DEFINITIONS AND DESIGNED TO ELICIT THE INFORMATION NECESSARY TO DETERMINE INDEPENDENCE. IN THE EVENT THAT THE ORGANIZATION DOES NOT RECEIVE A RESPONSE FROM ANY SUCH VOTING MEMBER, THE ORGANIZATION REVIEWS OTHER INFORMATION KNOWN TO IT REGARDING THE VOTING MEMBER AND MAKES A REASONABLE ASSESSMENT OF INDEPENDENCE BASED ON THAT INFORMATION. |
| FORM 990, PART V, LINE 1A: | LMW HEALTHCARE, INC. PAID VENDORS THROUGH AN AFFILIATED ENTITY, LAWRENCE + MEMORIAL HOSPITAL INC. (EIN-06-0646704). AS SUCH, 1099'S WERE ISSUED BY LAWRENCE + MEMORIAL HOSPITAL INC. ON BEHALF OF THE FILING ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 2 | BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES CERTAIN OF THE ORGANIZATION'S CURRENT OFFICERS AND/OR TRUSTEES MAY SERVE AS OFFICERS AND/OR DIRECTORS OF TAX-EXEMPT AND TAXABLE AFFILIATES WITHIN THE ORGANIZATION'S CORPORATE SYSTEM OR JOINT VENTURES IN WHICH THE ORGANIZATION'S CORPORATE SYSTEM HAS AN OWNERSHIP INTEREST. THE INDIVIDUAL OFFICERS AND/OR TRUSTEES DO NOT HAVE PERSONAL FINANCIAL INTERESTS IN SUCH AFFILIATES AND SERVE ONLY AS A FUNCTION OF THEIR ROLES WITH THE ORGANIZATION OR WITHIN THE ORGANIZATION'S CORPORATE SYSTEM. |
| FORM 990, PART VI, SECTION A, LINE 4 | LMW HEALTHCARE'S BYLAWS WERE AMENDED EFFECTIVE AS OF OCTOBER 1, 2019. THE AMENDMENTS EXPANDED THE TOTAL PERMITTED NUMBER OF TRUSTEES FROM A MAXIMUM OF 12 TO A MAXIMUM OF 17 TRUSTEES, AND ALSO ELIMINATED ONE EX-OFFICIO TRUSTEE SEAT. |
| FORM 990, PART VI, SECTION A, LINE 6 | LAWRENCE + MEMORIAL CORPORATION IS THE SOLE MEMBER OF LMW HEALTHCARE, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | LAWRENCE + MEMORIAL CORPORATION, AS SOLE MEMBER OF LMW HEALTHCARE, INC., ELECTS THE BOARD OF TRUSTEES OF LMW HEALTHCARE, INC., SUBJECT TO THE ADDITIONAL APPROVAL OF LAWRENCE + MEMORIAL CORPORATION'S SOLE MEMBER, YALE NEW HAVEN HEALTH SERVICES CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE HOSPITAL'S SOLE MEMBER, LAWRENCE + MEMORIAL CORPORATION, HAS THE RIGHT TO ELECT THE BOARD OF TRUSTEES OF THE ORGANIZATION AND APPOINT THE PRESIDENT, AND HAS THE FOLLOWING ADDITIONAL RIGHTS, ALL SUBJECT THE ADDITIONAL APPROVAL OF ITS SOLE MEMBER, YALE NEW HAVEN HEALTH SERVICES CORPORATION: TO APPROVE OPERATING, CASH FLOW AND CAPITAL BUDGETS; TO APPROVE GRADUATE AND UNDERGRADUATE MEDICAL EDUCATION ARRANGEMENTS; TO APPROVE MAJOR NEW CLINICAL PROGRAMS AND SERVICES AND CONTINUATION OF SAME; APPROVAL OF STRATEGIC PLANS; AND ADOPTION OF SAFETY AND QUALITY ASSESSMENT POLICIES; TO APPROVE THE MERGER, CONSOLIDATION, DISSOLUTION OR THE SALE OF ALL OR SUBSTANTIALLY ALL THE ORGANIZATION'S ASSETS; TO AMEND THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE ORGANIZATION, TO APPROVE THE EXECUTION OF LONG-TERM OR MATERIAL AGREEMENTS, AND TO AUTHORIZE THE EXECUTION OF CONTRACTS WITH AN UNRELATED THIRD PARTY FOR MANAGEMENT OF THE ASSETS OR OPERATIONS OF THE ORGANIZATION. YALE-NEW HAVEN HEALTH SERVICES CORPORATION RETAINS THE FOLLOWING AUTHORITY: ADOPTION OF BUDGETARY TARGETS, INDEBTEDNESS, MANAGEMENT AND CONTROL OF LIQUID ASSETS, AND APPOINTMENT OF THE INDEPENDENT AUDITOR. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE FORM 990 TAX RETURN AND ATTACHED SCHEDULES WERE PREPARED BY EMPLOYEES OF THE YNHHS TAX DEPARTMENT. THE RETURN IS INITIALLY REVIEWED BY THE EXECUTIVE DIRECTOR OF CORPORATE FINANCE. SUBSEQUENTLY, IT IS SENT TO KPMG LLP FOR THEIR INITIAL REVIEW. AFTER ALL COMMENTS FROM THE ABOVE GROUPS ARE RECEIVED AND REVIEWED, THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE ORGANIZATION AND A FINAL VERSION OF THE RETURN IS SENT BACK TO KPMG LLP FOR FINAL REVIEW. PRIOR TO FILING, THE ORGANIZATION MADE AVAILABLE A COMPLETE COPY OF THE RETURN TO ITS BOARD OF TRUSTEES BY WEB PORTAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | LMW HEALTHCARE IS COVERED UNDER THE YNHHS CONFLICT OF INTEREST POLICY APPROVED AND ADOPTED BY THE SYSTEM COMPLIANCE COMMITTEE, WHICH HAS BEEN DELEGATED THE AUTHORITY TO APPROVE AND ADOPT COMPLIANCE POLICIES ON BEHALF OF THE ENTITIES IN THE SYSTEM. THE YALE NEW HAVEN HEALTH SYSTEM CONFLICT OF INTEREST POLICY AND INDIVIDUAL ANNUAL DISCLOSURE FORM APPLIES TO A POOL OF EMPLOYEES, BOARD MEMBERS AND NON-BOARD MEMBERS SERVING ON BOARD COMMITTEES. THESE "COVERED INDIVIDUALS" ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT, UPON BEGINNING EMPLOYMENT OR OTHERWISE BECOMING A COVERED INDIVIDUAL AND ANNUALLY THEREAFTER. COVERED INDIVIDUALS ARE ALSO REQUIRED TO IMMEDIATELY REPORT MATERIAL CHANGES TO THEIR MOST RECENTLY COMPLETED DISCLOSURE STATEMENT. THESE DISCLOSURE STATEMENTS AND REPORTS ARE REVIEWED BY THE OFFICE OF PRIVACY AND CORPORATE COMPLIANCE AND/OR THE LEGAL AND RISK SERVICES DEPARTMENT TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IF A POTENTIAL CONFLICT ARISES, THE PRESIDENT AND CEO WOULD CONSULT WITH THE BOARD CHAIRPERSON AND THE LEGAL AND RISK SERVICES DEPARTMENT AND TAKE ANY ACTIONS THAT HE DEEMS REQUIRED OR APPROPRIATE TO MANAGE OR RESOLVE A POTENTIAL CONFLICT OF INTEREST. FOR EXAMPLE, A VOTING BOARD OR COMMITTEE MEMBER WOULD BE REQUIRED TO RECUSE HIMSELF OR HERSELF FROM VOTING ON MATTERS RELATED TO THE POTENTIAL CONFLICT AND THE POTENTIAL CONFLICT WOULD BE DISCLOSED TO OTHER VOTING MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION PROCESS FOR CEO/TOP OFFICIAL: THE TOP LMW HEALTHCARE OFFICIAL IS AN EMPLOYEE OF YNHHS. THE YNHHS COMPENSATION AND LEADERSHIP DEVELOPMENT COMMITTEE (THE "YNHHS COMPENSATION COMMITTEE"), WHICH INCLUDES A REPRESENTATIVE OF THE HOSPITAL, IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR YNHHS OFFICER-LEVEL EXECUTIVES, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR YNHHS OFFICER-LEVEL EXECUTIVES, AND (3) REPORTING SUCH ACTIONS TO THE FULL YNHHS BOARD OF TRUSTEES ON AN ANNUAL BASIS. IN ADDITION, THE YNHHS COMPENSATION COMMITTEE EXPRESSLY DETERMINES THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL YNHHS OFFICER-LEVEL EXECUTIVES, AND ASSURES THAT ALL OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED ORGANIZATIONS. THE YNHHS COMPENSATION COMMITTEE CONSISTS OF TRUSTEES WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE COMMITTEE IN ITS COMPENSATION DELIBERATIONS IS COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE YNHHS COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE YNHHS COMPENSATION COMMITTEE IS CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE COMMITTEE, AND PROVIDED TO THE BOARD OF TRUSTEES OF YNHHS AND LMW HEALTHCARE. FORM 990, PART VI, SECTION B, LINE 15B: COMPENSATION PROCESS FOR OTHER OFFICERS CERTAIN OFFICER-LEVEL EXECUTIVES ARE EMPLOYEES OF YNHHS, OTHER OFFICER-LEVEL EXECUTIVES ARE EMPLOYED DIRECTLY BY LMW HEALTHCARE, OR ITS AFFILIATE, LAWRENCE + MEMORIAL HOSPITAL. COMPENSATION DETERMINATIONS OF YNHHS EMPLOYEES ARE MADE BY THE YNHHS COMPENSATION COMMITTEE. COMPENSATION OF OFFICER-LEVEL EXECUTIVES EMPLOYED DIRECTLY BY LMW HEALTHCARE OR LAWRENCE + MEMORIAL HOSPITAL IS APPROVED BY LAWRENCE + MEMORIAL HEALTHCARE'S COMPENSATION COMMITTEE, THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S SOLE MEMBER. THE LAWRENCE + MEMORIAL HEALTHCARE'S EXECUTIVE COMPENSATION COMMITTEE IS RESPONSIBLE FOR (1) DETERMINING THE OVERALL TOTAL COMPENSATION STRATEGY FOR ITS AND ITS AFFILIATES OFFICER-LEVEL EXECUTIVES, (2) APPROVING ALL COMPENSATION AND BENEFITS DECISIONS FOR OFFICER-LEVEL EXECUTIVES, AND (3) REPORTING SUCH ACTIONS TO THE FULL BOARD ON AN ANNUAL BASIS, AS APPLICABLE. IN ADDITION, THE EXECUTIVE COMPENSATION COMMITTEE EXPRESSLY DETERMINES THE REASONABLENESS OF TOTAL COMPENSATION AND BENEFITS FOR ALL OFFICER-LEVEL EXECUTIVES EMPLOYED BY LAWRENCE + MEMORIAL HEALTHCARE AFFILIATE, AND ASSURES THAT ALL OFFICER-LEVEL EXECUTIVE COMPENSATION DECISIONS ARE MADE AFTER THOROUGH CONSIDERATION OF AND COMPARISON TO THE MARKET PRACTICES OF OTHER SIMILARLY SITUATED ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE CONSISTS OF BOARD MEMBERS WHO DO NOT HAVE MATERIAL FINANCIAL INTERESTS THAT COULD BE AFFECTED BY THE COMPENSATION DECISIONS MADE BY THE COMMITTEE. THE COMPARABILITY DATA USED TO ASSIST THE EXECUTIVE COMPENSATION COMMITTEE IN ITS COMPENSATION DELIBERATIONS ARE COMPILED BY AN INDEPENDENT, NATIONAL COMPENSATION CONSULTING FIRM THAT IS RETAINED BY AND REPORTS DIRECTLY TO THE EXECUTIVE COMPENSATION COMMITTEE. THE DATA COLLECTED BY THE CONSULTANT CONSISTS OF MARKET INFORMATION FOR EXECUTIVES IN FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE EXECUTIVE COMPENSATION COMMITTEES ARE CONTEMPORANEOUSLY DOCUMENTED, REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE, AND PROVIDED TO THE LAWRENCE + MEMORIAL HEALTHCARE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF ALL AVAILABLE DOCUMENTS ARE ACCESSIBLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 10,955,205. MANAGEMENT AND GENERAL EXPENSES 1,278,413. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,233,618. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 5,239,292. MANAGEMENT AND GENERAL EXPENSES 611,397. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,850,689. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FUNDS HELD IN TRUST BY OTHERS 242,099. DONATIONS FROM WESTERLY HOSPITAL FOUNDATION -651,690. |
| Software ID: | |
| Software Version: |